Subcontractor Prequalification Form

GENERAL INFORMATION
Company Name:
Address:
City:
State:
Zip Code:


CONTACT INFORMATION
Primary Contact:
Title:
Email:
Phone:
Cell:  
Fax:  


Estimating Contact:
Title:
Email:
Phone:
Cell:
Fax:


Other Contact:
Title:
Email:
Phone:
Cell:
Fax:



COMPANY
Type of Entity:  Partnership Sole Proprietorship Corporation LLC
Other:
Year established under current name:
Is company MBE, WBE, DBE or SBE certified?
Workers’ Compensation Experience Modification Rate:     Current Year:    Previous Year:
Does company have a written safety program?
Is company able to provide a P&P bond if required?
Average annual sales over past three years
Average project size:    Value:    Sq. Ft.


List three projects representative of your company completed in the last five years:
Name of Project:
Contract Value:
Primary/General Contractor:
Contact:
Phone:


Name of Project:
Contract Value:
Primary/General Contractor:
Contact:
Phone:


Name of Project:
Contract Value:
Primary/General Contractor:
Contact:
Phone:



SCOPE OF WORK/TRADES (Check All that apply)
 Geotechnical & Materials Testing Insulation Final Cleaning EIFS/Stucco Demolition Doors/Frames/Hardware Supply Soil Treatment Doors/Frames/Hardware Installation Site Development Storefront/Glazing Site Utilities Windows Erosion Control Drywall/Acoustical Ceiling Asphalt Paving Flooring Curb & Gutter Painting – needs to be added next Striping & Sealcoating Specialties Fencing Toilet Partitions & Accessories Retaining Walls Equipment Landscaping Furnishings Cast-In-Place Concrete Casework Structural Precast Countertops Masonry Pools Cultured Stone Metal Building Systems Structural Steel Elevators Metal Fabrications Fire Protection Rough Carpentry Plumbing Finish/Trim Carpentry HVAC Architectural Millwork/Casework Supply Electrical Caulking/Waterproofing Fire Alarm / Security Roofing Low Voltage Metal Roofing Other



GEOGRAPHIC AREA SERVED (Check all that apply)
 Metro Atlanta North Georgia Central Georgia South Georgia Alabama Florida North Carolina South Carolina Other



MARKET SECTORS SERVED (Check all that apply)
 Aviation Government Healthcare Hospitality Industrial Interiors Office Retail Other